Mental Health Program Referral Process for Providers

How to Make a Member Referral for Your Patient or Client

Pennsylvania Program Referrals

For Community Behavioral Health (CBH) Medicaid Members: Contact your hospital or program’s CBH Care Manager or your Utilization Review Manager to submit a referral. Simultaneously, download a copy of the CBH referral form and submit directly and securely to admissions@projecttransition.com with a copy of the client’s most recent Comprehensive Biopsychosocial Psychiatric Evaluation.

For Community Care Behavioral Health (CCBH) Medicaid Members: download the appropriate referral form and submit directly the the fax or e-mail on the cover page of the referral form.

Members with an approved referral visit the program to tour and complete pre-admission assessments as soon as the referral is approved. If unable to leave an inpatient setting for whatever reason to tour in person, assessments can be done remotely to assess readiness for program.

Tennessee Program Referrals

For Tennessee TennCare Members, Members can contact Admissions directly, or work with their supports to initiate the referral process. In order to be assessed for readiness for program, Project Transition will need:

Members will participate in a program tour and complete pre-admission assessments as soon as the behavioral health clinical documentation is received (psych eval, progress notes, discharge paperwork, etc.). If unable to leave an inpatient setting for whatever reason to tour in person, assessments can be done remotely to assess readiness for program.

Next Steps, All Members

Once you’ve submitted a referral for the patient, contact Project Transition’s Admissions Team and send them a copy of the clinical documentation for the Member and a completed preadmission packet.

When an approved referral is secured, the goal time to admit a member from approval to admission is within five business days.

Our Mission: To enable each person who has Serious Mental Illness, Dual Diagnosis Substance Use Disorder or I/DD and Behavioral Health conditions to live a life that is meaningful to him/her in the community on terms he/she defines.